| NPI | 1093115313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ALYSE HARMON Clinical Social Worker 203-583-1257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006955) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |