| NPI | 1588310841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN J.C. MCAVOY Managing Member 203-465-2869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-04-16 |