| NPI | 1083927164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN S. PHILLIPS Executive Director 203-269-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2011-10-04 |