| NPI | 1316352495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE FOGERTY Office Manager 203-324-3329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 000541) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2015-01-13 |