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 |