| NPI | 1912356205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL LEIBOWITZ President 860-677-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 364SPO809X) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |