| NPI | 1790645539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MCLAIN Licensed Clinical Social Worker 203-671-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2025-11-14 |