| NPI | 1528610979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH HOFFMAN Licensed Clinical Social Worker 860-794-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |