| NPI | 1528634672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEEN DORA CATOLANE Licensed Clinical Social Worker 860-268-7126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-05-30 |
| Last Update Date | 2021-05-30 |