| NPI | 1780120063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY F CAMPAGNA Partner 203-407-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 000614) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist (Licence: CT 1845) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 5770) | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2018-04-16 |