| NPI | 1295481158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA PELKEY-FLOCK Licensed Professional Counselor 203-499-7348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-01 |