| NPI | 1679394415 |
|---|---|
| Former Legal Business Name | FAMILY THERAPY ASSOCIATES, LLC |
| Entity Type | Organization |
| Authorized Contact | GARY W STANEK Executive Director 203-219-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |