| NPI | 1518472067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN JAY CUMMINGS Owner 860-270-9137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 58.008774) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |