| NPI | 1235580002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA L FULVIO Founder/Owner 203-231-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008196) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |