| NPI | 1457711954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE MADELYN TONNING Licensed Clinical Social Worker 203-883-8135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CT 001536) |
| Additional Taxonomies | 251S00000X (Licence: NY R071645) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |