| NPI | 1497252134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL MIARECKI Owner 203-892-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008271) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |