| NPI | 1669877080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KACIAN FABISH Sole Propeitier 203-308-9651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001783) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2015-11-30 |