| NPI | 1285610584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WYNNE Chief Executive Officer 203-954-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CT 0PCC-9) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2020-08-22 |