| NPI | 1093062853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STOKES Owner 203-572-2062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002101) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 007785) |
| 1041C0700X Social Worker, Clinical (Licence: CT 007359) | |
| 106H00000X Marriage & Family Therapist (Licence: CT 001688) | |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2013-06-06 |