| NPI | 1740763507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LAFARO Licensed Clinical Social Worker 203-505-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 8854) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |