| NPI | 1609166610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL OPTIONAL WEINER Owner 860-677-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 000361) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |