| NPI | 1285515387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEIGH JASMINE EDWARDS Licensed Clinical Social Worker 860-508-5771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |