| NPI | 1669744611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOSHIREA JACKSON Partner/Owner 203-650-4681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-22 |