| NPI | 1770947202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SANTIAGO Billing 203-278-9131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2935) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |