| NPI | 1962980193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMARIS RODRIGUEZ Social Worker 203-676-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009488) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-08-27 |