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 |