| NPI | 1114657061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS MOHAMMED Licensed Clinical Social Worker 860-856-1763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2023-12-27 |