| NPI | 1083506513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANAE PERRY-TANKSLEY Clinical Social Worker/Owner 860-761-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-18 |