| NPI | 1386059319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M. FEDERICI Clinical Social Worker 203-529-1602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 3157) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2014-06-28 |