| NPI | 1538839717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA MICELI Owner 203-848-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |