| NPI | 1710605167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA OTT Owner And Founder 203-970-4738 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-19 |