| NPI | 1174759963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY MOSES CEO 860-548-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 104100000x) |
| Additional Taxonomies | 251S00000X (Licence: CT 001806) |
| 251B00000X Case Management (Licence: CT 001806) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2013-04-16 |