| NPI | 1376098004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M. HOLDEN Owner 860-629-0339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009147) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |