| NPI | 1649818840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLTER COMBELLICK Clinical Coordinator 203-810-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2022-11-16 |