NPI | 1932680352 |
---|---|
Entity Type | Organization |
Authorized Contact | TREVOR JOHNSON Manger 203-414-9306 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw005312) |
Enumeration Date | 2018-08-23 |
Last Update Date | 2018-08-23 |