| NPI | 1366623894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE SUSAN DAVILA Owner 860-563-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 000668) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-28 |