| NPI | 1952716227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KACY J LANSING Licensed Professional Counselor 203-592-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 2495) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |