| NPI | 1992232656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRLYN ELIZABETH DAVIS Member 203-493-1558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 002962) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |