| NPI | 1497029961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PATRICK OPATRNY Owner/Member 203-233-9179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |