| NPI | 1568704757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE M GOODWIN Family Therapist 860-503-9927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 000777) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |