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 |