| NPI | 1114106143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LEIGH TOCHER Clinical Supervisor 860-728-4278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 006110) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 006110) |
| 1041C0700X Social Worker, Clinical (Licence: CT 006110) | |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |