NPI | 1851695837 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA BOISSEVAIN Health Director 203-385-4090 |
Organization Subpart ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000784) |
Enumeration Date | 2011-01-05 |
Last Update Date | 2011-01-05 |