| NPI | 1720409733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTON BERGVIK Licensed Professional Counselor 860-305-2764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2440) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |