| NPI | 1164699914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY FREUNDLICH Director 860-395-3190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 003682) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |