| NPI | 1164538112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA CATHERINE WEICHT Clinical Social Worker 203-239-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 004245) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-07-21 |