| NPI | 1467511212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ZELISKO Co Owner 203-988-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 002045) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 002012) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2011-12-18 |