| NPI | 1689163388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN ANN AJELLO Owner 860-334-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 46.003444) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2023-06-01 |