| NPI | 1083930093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE EVARISTE RUDEL Owner 203-288-0156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 006587) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-21 |