| NPI | 1578855508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE DYER CEO 860-887-6536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 0547) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 0547) | |
| 101YM0800X Counselor, Mental Health (Licence: CT 0547) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 0547) | |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2019-11-15 |