| NPI | 1942573431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA FRANCISCO CULLEN Program Coordinator 860-342-7271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000849) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |