| NPI | 1619622388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVELISSE SOTO Clinical Social Work/ Therapist 203-631-8271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-02-21 |