| NPI | 1790919405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MARIE TOBIN-SACHS Child/Adolescent Clinician 203-980-5713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001672) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |