| NPI | 1104120468 |
|---|---|
| Former Legal Business Name | ALTERNATIVE THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | RAUL A AVILA Director 203-281-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2011-12-29 |