| NPI | 1801050398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH KATE EKVALL Clinical Department 860-228-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2016-07-26 |