NPI | 1255527602 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUISE ANN BAYLOCK Owner/Therapist 860-343-0321 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 005189) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2014-10-07 |