| NPI | 1447133079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEVONNE NATASHA MACK-WALKER Social Worker 203-804-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |