| NPI | 1427976604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER B ROGERS Licensed Clinical Social Worker 860-306-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-07-07 |
| Last Update Date | 2026-07-07 |