| NPI | 1235668096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMAR J YOUNG Owner 203-787-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2019-05-21 |