| NPI | 1023512407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ELIZABETH FRECHETTE Clinician Ii 860-389-1208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 8693) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |