| NPI | 1063802684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI S FRIEDLAND Licensed Clinical Social Worker 860-402-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 03785898) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |