| NPI | 1992291611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA KAYE SCHWEITZER Owner/Clinician 860-214-5038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2987) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 1101) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |