| NPI | 1861636391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOYSORE PAUPAU-MICKENS Owner 203-496-2074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006466) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |