| NPI | 1861924292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY LYNN ZENKUS Licensed Clinical Social Worker 203-535-7388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009126) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-26 |