| NPI | 1962128280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA YADIRA BREULER Licensed Professional Counselor 203-464-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |