| NPI | 1083921506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KELTON Partner 860-896-5331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006240) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 004829) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2010-09-03 |