| NPI | 1609165828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY ANNE NOLAN Therapist 860-573-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001931) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |