| 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 |