| NPI | 1871038737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREHAN COSGROVE Marriage And Family Therapist 860-805-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 001820) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |