| NPI | 1033916713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERYNA M ALICEA Behavioral Health Clinician 860-538-9913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2026-07-31 |