| NPI | 1235456203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALI SHAREEF MUHAMMAD Executive Director 203-208-9254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2016-04-19 |