| NPI | 1174921431 |
|---|---|
| Doing Business As | ASD CENTER FOR THERAPEUTIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SEAN CARLIN Founder/Director Of Clinical Servic 860-532-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007775) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |