| NPI | 1982946208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CAHARLES FILLORAMO Lpc, Ladc, Ceap, Sap 860-306-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |