| NPI | 1720481997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W. AUGUSTINE Owner 203-543-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000994) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |