| NPI | 1720380819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L. RICH Counselor 203-313-1801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 001448) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 882) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |