| NPI | 1487129284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALEESA M HERNANDEZ Behavioral Health Clinician 203-927-6409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-09-30 |