| NPI | 1295139145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLENE S MURPHY CEO 860-518-1838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CT 8798) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2019-01-24 |