| NPI | 1447642541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE W GORDON-LAND Principal 203-227-2724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 000468) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |