Organization
YOUTH CONTINUUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SASHA MARISSA GELBAND LCSW (MENTAL HEALTH CLINICIAN)
(203) 562-3396
Entity
Organization
Contact information
Practice address
705 ROBERT FROST DR, BRANFORD, CT 06405-5838
(203) 468-1173
(203) 468-1259
Mailing address
24 RIVER ST, NEW HAVEN, CT 06513-4317
(203) 562-3396
(203) 867-5888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
108295302
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8694
CT STATE LICENSE
CT
Enumeration date
07/18/2014
Last updated
07/21/2014
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