| NPI | 1205261211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE NICOLE CHRISTIAN Licensed Clinical Social Worker 860-428-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007464) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |