NPI | 1063956316 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN CRAIG ALLEN CEO/President 860-378-7841 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 041054) |
Enumeration Date | 2016-12-06 |
Last Update Date | 2016-12-06 |