NPI | 1740932052 |
---|---|
Doing Business As | KHALILAH ABDULRAHIM |
Doing Business As | DAYSPRING THERAPEUTIC GROUP |
Entity Type | Organization |
Authorized Contact | KHALILAH ABDULRAHIM Director 203-936-9510 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
103TC2200X Psychologist, Clinical Child & Adolescent | |
106H00000X Marriage & Family Therapist | |
171400000X Health & Wellness Coach | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2022-01-19 |
Last Update Date | 2022-01-19 |