Organization
CENTER FOR HEALING TRAUMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MODUGNO (MEMBER/OWNER)
(203) 383-0501
Entity
Organization
Contact information
Practice address
840 POST RD E, WESTPORT, CT 06880-5236
(203) 383-0501
Mailing address
PO BOX 86, MONROE, CT 06468-0086
(203) 383-0501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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