| NPI | 1407437056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOMARY SEPULVEDA-BETANCOURT CEO 203-781-6635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2024-05-31 |