| NPI | 1073914578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT L HALL Owner 203-578-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001328) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005428) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2015-04-21 |