| NPI | 1316470644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ROBBINS Director 203-687-3096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005546) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 3121) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |