| NPI | 1134478357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEL W SLOWLY Proprietor 203-906-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT 00004798) |
| 1041C0700X Social Worker, Clinical (Licence: CT 007373) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2014-09-05 |