| NPI | 1457896250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA AMPARO ALVARENGA Licensed Clinical Social Worker 860-999-4877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 0008510) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |