| NPI | 1285129692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET DAVEY Clinical Social Worker 203-430-8290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 002705) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |