| NPI | 1346610300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTA MATTAR COLODETTE Clinical Licensed Social Worker 203-257-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008419) |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2015-10-03 |