| NPI | 1932807294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY M FARRELL License Professional Counselor 203-640-7809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-05-23 |