| NPI | 1063931764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH RICHARDS Managing Member 203-907-9552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 1922) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2020-04-24 |