| NPI | 1871994061 |
|---|---|
| Doing Business As | JBU |
| Entity Type | Organization |
| Authorized Contact | CHIKA GRAY Practice Manager 860-781-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |