| NPI | 1316450653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARYN ELIZABETH ZARNETSKE Owner 203-767-5923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: CT 007772) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 007772) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CT 007772) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |