| NPI | 1073499505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MONTALVO Founder & Clinical Director 203-908-7287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |