| NPI | 1477712917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN FOLEY Owner 860-284-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2012-02-08 |