| NPI | 1891153474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALYN ROSE Owner 203-376-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008003) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 001770) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |