| NPI | 1205212172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROOT Licensed Clinical Social Worker 860-993-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 008779) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |