| NPI | 1740922285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GAMBRELL Licensed Clinical Social Worker 203-974-9958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-04-19 |