| NPI | 1013313717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLIE BARKOFF Clinical Social Worker 860-463-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 004221) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |