| NPI | 1760254262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CEPERO REY Licensed Professional Counselor 203-767-5170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-10-27 |