| NPI | 1508710880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIOBAN N GORDON Licensed Clinical Social Worker 203-718-6815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-02-24 |
| Last Update Date | 2026-02-24 |