| NPI | 1336697200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME BLISS GUILMETTE Owner 860-798-4963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006582) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |