| NPI | 1609218866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN O'CONNELL-SEAGRAVES Therapist 860-371-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 002322) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |