NPI | 1003499526 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDITH ZACKSON Clinical Director, Founder 203-900-1666 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2021-05-03 |
Last Update Date | 2023-12-08 |