| NPI | 1386144178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE A.C. CORTEZ Licensed Clinical Social Worker 860-490-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009597) |
| Enumeration Date | 2018-02-18 |
| Last Update Date | 2018-02-18 |