| NPI | 1255712394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE RODRIGUEZ Therapist 203-296-0690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CT 002456) |
| Additional Taxonomies | 251S00000X (Licence: CT 000272) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |