| NPI | 1720456460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MAFFUID Owner 860-537-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |