| NPI | 1215343413 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELIJAH CALDWELL Executive Director 203-558-9865  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008201)  | 
| Enumeration Date | 2014-07-08 | 
| Last Update Date | 2014-08-25 |