| NPI | 1043604523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA STAMAT Clinical Social Worker 203-558-0786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 7063) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |