| NPI | 1588174775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI D. HUGHART Owner/Member 203-415-8495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 002902) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |