| NPI | 1164214748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JENKINS Owner 203-893-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |