| NPI | 1578037347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLYN D DUNN Mental Health Therapist 203-536-9816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |