| NPI | 1710684881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE DECICCIO Executive Director 203-444-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-02-09 |