| NPI | 1396271532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANYA MARISSE BOUNDS Dir Of Rev & Reimbursement 860-628-3059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 003405) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 009647) |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2022-03-31 |