| 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 |