| NPI | 1033624614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SHILLINGFORD Owner/Manager 203-520-9910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007937) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |