| NPI | 1134606262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE J MACRAE Owner 203-668-9725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006108) |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2018-07-21 |