| NPI | 1992195945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY WADE KELLY Managing Partner 203-918-0336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008834) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |