| NPI | 1710344809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIERA HAWKINS Client Care Supervisor 203-883-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 2481) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2021-11-05 |