| NPI | 1194746982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA S MITTENTHAL Older Adults Clinician 860-236-1927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 005273) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |