| NPI | 1245448323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLENE CHISHOLM Owner 203-736-6734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CT 001119) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001119) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2020-08-22 |