| NPI | 1518374859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASHA MARISSA GELBAND Mental Health Clinician 203-562-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CT 108295302) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-21 |