| NPI | 1649467044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER VESSICCHIO Owner 203-671-1573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005685) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |