| NPI | 1306129119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE MCMAHON Owner 860-417-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007557) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |