| NPI | 1205582616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNY SONENARONG License Clinical Social Worker 203-535-4109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |