| NPI | 1063956852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH O'DONNELL Owner 203-516-8852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1455) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |