| NPI | 1093089948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP SYLVESTER Partner 860-347-8894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004228) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000329) |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |