| NPI | 1376332700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY GEDDES Business Owner/Clinical Director 203-433-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-06-25 |