| NPI | 1245613231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA H LEFEVER Member 860-690-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008900) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2026-05-21 |