| NPI | 1497148696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY M GONZALEZ President/CEO 203-942-6687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007507) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-13 |