| NPI | 1073714671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS MONTALVO STEWART Proprietor Primary Owner Of LLC 860-571-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004654) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |