| NPI | 1053941260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA NUNLEY Owner/Manager 203-693-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |