| NPI | 1548951833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE O'CONNOR Professional Counselor 203-260-8896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2025-01-03 |