| NPI | 1720491087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN REARDON Manager 860-845-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001140) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |