| NPI | 1831461789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOSHIREA JACKSON Owner/Partner 203-650-4681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-06-07 |