| NPI | 1417211103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RAZEL Licensed Clinical Social Worker 860-490-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 007593) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |