| NPI | 1558735001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY KORTE Owner 203-213-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1085) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 343) |
| 101YP2500X Counselor Professional (Licence: CT 2096) | |
| 101YP2500X Counselor Professional (Licence: CT 2517) | |
| 1041C0700X Social Worker Clinical (Licence: CT 7379) | |
| 1041C0700X Social Worker Clinical (Licence: CT 5898) | |
| 106H00000X Marriage & Family Therapist (Licence: CT 1612) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 42079) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 800) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 1136) | |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |