| NPI | 1407621998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE HANDY-MORRIS Administrator 203-999-8734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |