NPI | 1740648047 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA MULREADY Counselor 860-218-0948 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 1928) |
Enumeration Date | 2016-02-02 |
Last Update Date | 2016-02-02 |