| NPI | 1891860300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE W BAMBERG Executive Director 860-233-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT c0231) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT c0231) |
| 103TC0700X Psychologist, Clinical (Licence: CT c0231) | |
| 1041C0700X Social Worker, Clinical (Licence: CT c0231) | |
| 106H00000X Marriage & Family Therapist (Licence: CT c0231) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT c0231) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |