| NPI | 1508215542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIA MORRIS Clinical Therapist 203-589-4912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 001158) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |