| NPI | 1962729871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA R. LANE Owner 860-655-9016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 001148) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 000575) |
| Enumeration Date | 2010-05-02 |
| Last Update Date | 2013-01-07 |