| NPI | 1649930918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN THAYER NUHN Licensed Professional Counselor 860-861-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-28 |