| NPI | 1265101414 |
|---|---|
| Other Name | (NONE) |
| Entity Type | Organization |
| Authorized Contact | KRISTIN MARY PRAZNOWSKI Clinical Therapist 203-623-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-09-10 |