| NPI | 1215472527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE B BOSCO Managing Member 475-238-8229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006991) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 002047) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2017-01-26 |