NPI | 1679973994 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNA C. PROCACCINI President 203-850-0140 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3411) |
Enumeration Date | 2014-08-25 |
Last Update Date | 2014-08-25 |