NPI | 1336518596 |
---|---|
Entity Type | Organization |
Authorized Contact | KARI ANN GREAVES Owner 203-710-5513 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1753) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 947) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2015-09-17 |
Last Update Date | 2024-01-09 |