| NPI | 1366382426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE WILBORNE Clinical Therapist/Supervisor 203-806-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2026-03-30 |
| Last Update Date | 2026-03-30 |