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 |