| NPI | 1972339695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA N ROSE Owner 860-656-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |