NPI | 1275541005 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW W CZERNIEWSKI EVP Finance/CFO 203-238-6880 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC0700X Psychologist, Clinical | |
1041C0700X Social Worker, Clinical | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2006-08-04 |
Last Update Date | 2010-10-22 |