| NPI | 1730956137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DASHELLE BARCO Licensed Professional Counselor 860-778-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |