| NPI | 1265934103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN GRIFFIN Owner 203-314-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CT 009781) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2024-10-02 |