| NPI | 1740876713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISHONA HENRY Owner 860-794-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |