| NPI | 1235853920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN HAYDEN Licensed Professional Counselor 203-969-4827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |