NPI | 1275047045 |
---|---|
Entity Type | Organization |
Authorized Contact | PEGGY LANE Owner 203-265-7770 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
101YP2500X Counselor, Professional | |
Enumeration Date | 2017-11-30 |
Last Update Date | 2017-11-30 |