| NPI | 1215466909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE STEEN Psychotherapist 203-403-7159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 9807) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 9807) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |