| NPI | 1679847255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNNE MULROONEY Manager 860-479-1735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001730) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2015-06-18 |