| NPI | 1033873906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN MARIE CARRANO Licensed Clinical Social Worker 203-444-0412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-10-27 |