| NPI | 1154889780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MAGGIORE Licensed Professional Counselor 203-444-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2023-04-17 |