NPI | 1770802886 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT MATEFY Owner 203-335-0345 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2010-05-28 |
Last Update Date | 2014-08-31 |