| NPI | 1518443027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY TAMARA PEARSON Clinical Social Worker 860-539-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009351) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |