| NPI | 1528326808 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | VANESSA L ACAMPORA Manager 203-298-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CT 045572) |
| Additional Taxonomies | 104100000X Social Worker |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 045572) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2024-04-17 |