| NPI | 1336755867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ J MORALES Licensed Clinical Social Worker 203-514-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |