| NPI | 1508386350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE CREGO Sole Member 203-768-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-07-21 |