| NPI | 1386197010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLEY CHARMAINE PHILLIPS-LEWIS Clinical Social Worker 203-843-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |