| NPI | 1740932052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALILAH ABDULRAHIM Director 203-936-9510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 106H00000X Marriage & Family Therapist | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |