| NPI | 1093378580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN A TESSIER Clinical Social Worker, Psychothera 203-296-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2023-11-04 |