| NPI | 1265829832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J HARBILAS Owner 203-557-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005729) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: CT 005729) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-05-30 |