| NPI | 1194359190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA F BOCTOR Licensed Clinical Social Worker 860-985-8751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |