| NPI | 1366905861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BARRETT Licensed Clinical Social Worker 203-260-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |