| NPI | 1154499804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. KATHRYN NICOLL President 203-679-0849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 002617) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2014-01-08 |