| NPI | 1558859637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA D SIEMON Licensed Clinical Social Worker 203-232-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009745) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |