| NPI | 1194129239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE E WEST Director 203-693-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 8711) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 2524) |
| 101YP2500X Counselor, Professional (Licence: CT 2867) | |
| 103TC0700X Psychologist, Clinical (Licence: CT 002950) | |
| 106H00000X Marriage & Family Therapist (Licence: CT 1813) | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2019-12-23 |