| NPI | 1629494232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JAMES REILLY Owner Therapist 203-819-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 002448) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000951) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2016-04-05 |