| NPI | 1639940398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA RODRIGUEZ Owner/ Authorized Official 860-881-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-12 |