| NPI | 1659649259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DROUIN CFO 860-928-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 101Y00000X Counselor | |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |