NPI | 1467868364 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD FITZGERALD Controller 203-883-0079 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002502) |
Enumeration Date | 2014-07-11 |
Last Update Date | 2014-07-11 |