NPI | 1215633391 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL DECASTRO Member 203-794-4714 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
101YP1600X Counselor, Pastoral | |
101YP2500X Counselor, Professional | |
103T00000X Psychologist | |
103K00000X Behavior Analyst | |
1041C0700X Social Worker, Clinical | |
208000000X Pediatrics | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2023-02-01 |
Last Update Date | 2023-02-01 |