| NPI | 1578788766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL FEDERLE Co Owner 203-758-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2007-04-15 |
| Last Update Date | 2007-08-16 |