| NPI | 1285393942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA HERNANDEZ-CAMPOS Owner 203-810-9817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2021-12-10 |