| NPI | 1841552320 |
|---|---|
| Doing Business As | SUPPORT FOR LIFE |
| Entity Type | Organization |
| Authorized Contact | LAURIE FISTOLA Access Manager 203-217-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001297) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2024-02-24 |