| NPI | 1598311599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE-PAULE LOPEZ DE VALDIVIA Program Director 203-981-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |