| NPI | 1316793466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON POLESEL Licensed Clinical Social Worker 860-882-9287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-05-13 |