| NPI | 1780145839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA DIMAURO Clinician & Owner 860-899-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2021-02-09 |