| NPI | 1881216968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYANN L PINTO-SAMUDA Therapist 203-536-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 1041S0200X Social Worker, School | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |