| NPI | 1992161681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH L SIMONCELLI Owner 860-459-1134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 2634) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007548) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-07-06 |