| NPI | 1053144865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA B ROSE Licensed Clinical Social Worker 203-931-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |