| NPI | 1821754649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE GERRY Manager/ Owner 860-940-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2021-11-16 |