| NPI | 1538596374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA E BEALL-GOMES Owner 203-449-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor, School | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2017-03-10 |