| NPI | 1235884073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MORAES Director 203-501-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-02-21 |