| NPI | 1568035061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE RENEE SPEARMAN-CAMBLARD Clinical Director, Manager 203-815-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2022-06-02 |