| NPI | 1912726175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY MACHADO Owner 203-733-3504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-10-05 |
| Last Update Date | 2024-10-05 |