| NPI | 1013443027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E JOHNSON Owner 203-252-0667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1897) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |