| NPI | 1407576069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CIVITELLI-FORGIONE Billing/Credentialing 203-848-8305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |