| NPI | 1912313008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY SPLITTGERBER Owner 860-526-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 001047) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001047) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 001047) | |
| 101YM0800X Counselor, Mental Health (Licence: CT 001047) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 001047) | |
| 103T00000X Psychologist (Licence: CT 001047) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2016-04-19 |