| NPI | 1730851395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL PAGLINO Clinician 860-664-1155 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2023-05-24 |