| NPI | 1306394366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYNN KONIOR Manager/Sole Member 860-573-6753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923802) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |