NPI | 1508588229 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE ANN MANKOWSKI Psychotherapist/Owner 203-212-9864 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2022-09-19 |
Last Update Date | 2024-05-20 |