| NPI | 1992718456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE LAWRENCE Director 203-846-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |