| NPI | 1962853044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE K STANEK Chief Executive Officer 860-513-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-08-11 |