| NPI | 1821336942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MARIE BELLENOIT Marriage And Family Therapist 860-965-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CT 1267) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |