| NPI | 1174051882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA ABRAM Clinician/Therapist 860-420-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008597) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |