Organization
GRACE VALLEY CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL KELLY (CEO)
(860) 905-4776
Entity
Organization
Contact information
Practice address
27 HOLMES DR, WINDSOR, CT 06095-3969
(806) 905-4776
Mailing address
PO BOX 186, WINDSOR, CT 06095-0186
(860) 905-4776
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
08/11/2022
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