| NPI | 1215252614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA SILVIA DIGIACOMO-CANELLAS Clinical Social Worker 860-324-6841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006422) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |