| NPI | 1700429180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAYLA SLEETER Licensed Professional Counselor 860-705-9984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |