| NPI | 1750893905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LEIGH PARHAM Psychotherapist 860-235-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 000866) |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |