| NPI | 1861532152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN G. ROSEN Owner 860-875-2578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 000365) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 000631) |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical (Licence: CT 004864) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2009-02-15 |