| NPI | 1255719175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M BECK Director 203-240-4683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006707) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2022-04-20 |