| NPI | 1033737879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L CRANE Owner 203-403-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |