| NPI | 1255896064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGMARA NIECIKOWSKI Lcsw 860-348-3371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2020-07-21 |