| NPI | 1649676297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY O'CONNOR Owner 203-518-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 1151) |
| 101YP2500X Counselor, Professional (Licence: CT 2783) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 8329) | |
| 106H00000X Marriage & Family Therapist (Licence: CT 1615) | |
| 363L00000X Nurse Practitioner (Licence: CT 004704) | |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2024-02-12 |