| NPI | 1285140228 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RACHEL FORBES Therapist 203-641-0020 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010016) | 
| Enumeration Date | 2017-12-27 | 
| Last Update Date | 2023-01-05 |