| NPI | 1174382691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON ROGERS Owner 860-304-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-04-23 |