NPI | 1477065407 |
---|---|
Entity Type | Organization |
Authorized Contact | DAYNE BACHMANN Owner/Clinician 475-777-9303 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009421) |
Enumeration Date | 2017-10-31 |
Last Update Date | 2017-10-31 |