NPI | 1194334334 |
---|---|
Former Legal Business Name | COGNITIVE AND BEHAVIORAL CARE CENTER OF CONNECTICUT, LLC |
Former Legal Business Name | AMANDA EDWARDS, LCSW |
Entity Type | Organization |
Authorized Contact | AMANDA EDWARDS DOHENY Owner 203-760-0044 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-07-23 |
Last Update Date | 2020-07-23 |