| NPI | 1063954360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKESHA ANDREA ALLEYNE Owner 203-610-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 007576) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000913) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |