| NPI | 1689039737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ARCHER Psychotherapist 860-712-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001619) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |