NPI | 1093280786 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH MODUGNO Owner 203-383-0501 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Enumeration Date | 2018-10-09 |
Last Update Date | 2018-10-09 |