| NPI | 1326587882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE RIVERA Owner 860-753-6015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009611) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2025-05-19 |