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 | 2024-07-22 |