| NPI | 1568873180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE KLINTBERG Licensed Clinical Social Worker 203-637-2062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |