| NPI | 1801452560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE WAID Marriage And Family Therapist 860-608-5202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |