NPI | 1922568914 |
---|---|
Entity Type | Organization |
Authorized Contact | NAKIA REDDICK Executive Director 203-591-1182 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-03-25 |
Last Update Date | 2019-06-11 |