| NPI | 1063437895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER CIMINO Executive Director 203-481-4248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CT C0149) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 005435) |
| 103TC0700X Psychologist Clinical (Licence: CT 002668) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 014248) | |
| 106H00000X Marriage & Family Therapist (Licence: CT 1942449186) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CT C01490) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-02-06 |