| NPI | 1902354038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE OGORZALEK Lpc 860-877-5925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002573) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |