| NPI | 1336408731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANDREW HERNANDEZ Therapist 860-303-6827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 10505) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |