| NPI | 1285200816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GICEL CORADO Licensed Professional Counselor 203-921-8965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |