| NPI | 1649607201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA S RICCI Lmft 860-416-3814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001495) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 104100000X Social Worker | |
| 101YM0800X Counselor, Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2014-11-10 |