| NPI | 1255640959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY P KEREKES Managing Member 203-676-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005553) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |