NPI | 1255867735 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDITH ZACKSON Clinical Director, Founder 203-900-1666 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CT 003398) |
Enumeration Date | 2017-05-03 |
Last Update Date | 2023-12-08 |