| NPI | 1598163412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL FORD ROUNTREE Clinical Social Worker 203-451-7437 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 002048) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |