| NPI | 1528452232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN STUTZMAN Owner 203-695-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CT 002106) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-08-13 |