| NPI | 1407496805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FAITH HOFFMAN Licensed Clinical Social Worker 860-680-5289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |