| NPI | 1952284317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKYSHA DOUGLAS Lcsw 203-408-2257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |