| NPI | 1205441243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RANKIN Owner, Clinician 860-318-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2023-07-07 |