NPI | 1952940140 |
---|---|
Doing Business As | ALLISON BOMBARD LCSW |
Entity Type | Organization |
Authorized Contact | ALLISON BOMBARD Owner 203-339-2593 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-01-05 |
Last Update Date | 2021-07-06 |