| NPI | 1467998674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN LASHAE OUTLAW Owner 203-317-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 008874) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| 251S00000X Community/Behavioral Health (Licence: CT 008874) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2023-11-28 |