| NPI | 1730833062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA"SHONDRA DA CRUZ Owner 203-604-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 207Q00000X Family Medicine | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-02-06 |
| Last Update Date | 2022-02-06 |