| NPI | 1598900524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN HRBEK Director 203-227-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X Community/Behavioral Health (Licence: CT SA-0140) | |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2018-10-31 |