| NPI | 1619643533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON SPARAGO Licensed Clinical Social Worker 203-215-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |