| NPI | 1053664318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY MICHAEL KOVAL Owner 203-918-8025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002238) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2013-03-14 |