| NPI | 1194218354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY DENSON Clinical Social Worker 203-676-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008856) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000970) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-06-05 |