| NPI | 1275072969 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LISA D'ANTONIO President 203-217-2842  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17330)  | 
| Enumeration Date | 2017-02-15 | 
| Last Update Date | 2019-12-05 |