| NPI | 1407214398 |
|---|---|
| Doing Business As | THE INITIATIVE CENTER |
| Entity Type | Organization |
| Authorized Contact | ROGER ROGER Director 203-533-9512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 3563) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 2843) |
| 1041C0700X Social Worker, Clinical (Licence: CT 9102) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 8976) | |
| 106H00000X Marriage & Family Therapist (Licence: CT 1764) | |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2017-02-14 |