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 |