| Organization Name: | ASD SUPPORT SERVICES LLC |
| NPI Number: | 1174921431 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER SEAN CARLIN (FOUNDER/DIRECTOR OF CLINICAL SERVIC) |
| Mailing Address: | 415 Killingworth Rd Suite 9a/b Higganum |
| State: | CT US |
| Postal Code: | 064414370 |
| Phone Number: | 8605320604 |
| Fax Number: | 8603224723 |
| NPI Enumeration Date: | 12/18/2014 |
| NPI Last Update Date: | 12/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 007775 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |