NPI | 1902906886 |
---|---|
Other Name | NONE |
Entity Type | Organization |
Authorized Contact | ALBERT F. A. YOUNG Owner 860-478-5399 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 000343) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2012-09-14 |