| NPI | 1457865990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SHERRICK Therapist 203-416-6008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 101YM0800X Counselor, Mental Health (Licence: 002123) | |
| 251S00000X (Licence: 002123) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |