| NPI | 1366252082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA REYNOSO Licensed Clinical Social Worker 860-373-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-24 |