| NPI | 1043220619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA SAMAHA Director 203-740-7296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-03-14 |