| NPI | 1871191858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW STEIN Social Worker 203-295-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041S0200X Social Worker School |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-12-19 |