| NPI | 1831243047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL HUGHES Administrative Assistant 203-874-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy (Licence: CT 001868) |
| 1041C0700X Social Worker Clinical (Licence: CT 00283) | |
| 1041C0700X Social Worker Clinical (Licence: CT 002441) | |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: CT 001370) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CT 00815) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CT 022757) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 022757) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2015-05-20 |