| NPI | 1497727887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA E BRUBECK Member 860-586-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004424) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-08-22 |