| NPI | 1609816032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ESTHER RIOS Business Service Manager 860-225-3561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT C-0063) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT C-0063) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |