| NPI | 1114738911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ZACKSON Clinical Director & Founder 203-900-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |