| NPI | 1003101767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE S PAUL Sole Member 860-818-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006933) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |