| NPI | 1487012696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS MENDEZ Licensed Clinical Social Worker 860-513-2327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007425) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2024-10-17 |