NPI | 1124391511 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRI A MCAVAY-REDNER Owner, Therapist 860-383-2171 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006491) |
Enumeration Date | 2012-02-15 |
Last Update Date | 2012-03-27 |