| NPI | 1922630557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIETTE HODGE Clinician/Owner 203-440-7798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |