| NPI | 1144916149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA OLENOSKI Licensed Clinical Social Worker 203-997-4204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |