| NPI | 1891221719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GINNETTI Licensed Clinical Social Worker 203-444-4335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 9728) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |