| NPI | 1447762463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WARNER Owner 203-505-6142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CT 002350) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-11-20 |