| NPI | 1700021029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA MARIE OTRIN Owner/Member 860-399-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001294) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2013-01-30 |