| NPI | 1467088799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL PEGGY LOPEZ Member/Owner 203-308-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-10-16 |