| NPI | 1518341056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CYNTHIA CARON Owner 203-930-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008484) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2023-09-06 |