| NPI | 1003096744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYSA AKBAR Executive Director 203-387-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CT 002659) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 001636) |
| 1041C0700X Social Worker Clinical (Licence: CT 006473) | |
| 1041C0700X Social Worker Clinical (Licence: CT 005442) | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2010-09-09 |