| NPI | 1760363410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEJANAE CARPENTER Licensed Clinical Social Worker 203-441-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |