| NPI | 1225516669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA MCCORMICK Owner 860-383-9434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 003288) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 006887) |
| Enumeration Date | 2018-07-29 |
| Last Update Date | 2018-07-29 |