| NPI | 1285480319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN BOCHICCHIO Clinical Director 203-524-2408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |