| NPI | 1184993081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ALLEN COLE Executive Director 203-624-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2012-07-23 |