| NPI | 1063956316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN C. ALLEN Owner/Md 860-378-7841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 041054) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2026-04-15 |