| NPI | 1932764651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE MOORER Owner 860-329-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |