| NPI | 1184131492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA L JOSE Licensed Clinical Social Worker 203-525-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10048) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |