| NPI | 1659431518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. PHILIP GUZMAN President CEO 203-394-6529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0801X | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2014-12-23 |