| NPI | 1255660320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MURPHY Statutory Agent 203-927-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005860) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2009-12-18 |