| NPI | 1427143924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A PADILLA Director 203-574-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004291) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |