| NPI | 1598890998 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | ANDEE KRISTEN CANTAVERO Owner 203-912-8195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CT 005379) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2023-07-18 |