NPI | 1336033927 |
---|---|
Former Legal Business Name | ECLECTIC BALANCE LLC |
Entity Type | Organization |
Authorized Contact | JUDITH LIU CEO 203-208-6072 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2025-06-06 |
Last Update Date | 2025-08-12 |