| NPI | 1093101396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA SCRIVANO Owner/Member 860-919-6673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008029) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |