| NPI | 1003912221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY SCOTT GENSER Outpatient Therapist 860-570-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005336) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-07-02 |