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 |