| NPI | 1023705944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISCHA HADAWAY Owner 860-816-7516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 103TC0700X Psychologist, Clinical | |
| 103G00000X Clinical Neuropsychologist | |
| 103TC1900X Psychologist, Counseling | |
| 103TF0000X Psychologist, Family | |
| 103TH0100X Psychologist, Health Service | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 363LP1700X Nurse Practitioner, Perinatal | |
| 364SP1700X Clinical Nurse Specialist, Perinatal | |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |