NPI | 1740701101 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE GERRISH O'SULLIVAN Owner 203-779-9414 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 003188) |
Enumeration Date | 2017-07-06 |
Last Update Date | 2017-07-06 |