| NPI | 1467819375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALITA L SAMPSON Licensed Clinical Social Worker 203-623-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008810) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |