| NPI | 1720539869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE BETH SIRLIN Executive Director 203-856-3372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 000573) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |