| NPI | 1922596360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MARCUS, LCSW Director, Lcsw 203-281-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CT 005904) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 005904) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |