| NPI | 1831626811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A. HERELD Member 203-910-3551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008788) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |