| NPI | 1639685456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE DENISE KEELER Partner 860-373-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002445) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2018-06-16 |