| NPI | 1992203889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARRIEL FONTANEZ Licensed Professional Counselor 860-759-0924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003136) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |