| NPI | 1134737760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNIEL CHAMANLAL Owner 203-526-3408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2022-02-23 |