| NPI | 1265154017 |
|---|---|
| Former Legal Business Name | RESURGENCE SURVIVING 2 THRIVING |
| Entity Type | Organization |
| Authorized Contact | MARISSA CORRY Lcsw 860-989-1602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |