| NPI | 1902505803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE WALLACE SMITH Licensed Master Of Social Work 203-331-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |