| NPI | 1548878051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA JEANETTE MITCHELL Clinical Director 860-830-7598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2022-11-18 |