| NPI | 1558879338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GRIMALDI Therapist 203-536-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 008763) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |