| NPI | 1811068893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN FUSCO Assistant Director 203-775-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 006329) | |
| 104100000X Social Worker | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2021-01-27 |