| NPI | 1760918601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADA I BROWN Director Of Clinical Services 203-390-1468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002489) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |