| NPI | 1104203546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WEISS Clinical Psychologist And Director 203-540-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002750) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |