| NPI | 1851649222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN CATES Privacy Officer 860-486-0747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 101Y00000X Counselor | |
| 101YM0800X Counselor Mental Health | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2023-10-23 |