NPI | 1134440134 |
---|---|
Entity Type | Organization |
Authorized Contact | FRITZ MAIGNAN Executive Director 203-870-6050 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 1949) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2010-06-14 |
Last Update Date | 2010-06-14 |