| NPI | 1083153951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS DESPOELBERCH Lpc 203-826-8386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002729) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |