| NPI | 1902107428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BROOKS DEGLING Owner 860-944-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 001763) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |