| NPI | 1013562347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CAMERA Professional Counselor 203-868-9949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |