| NPI | 1710712997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKISHA NEWELL Managing Partner 860-883-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |