NPI | 1558842559 |
---|---|
Doing Business As | CENTRAL CT WELLNESS LLC |
Entity Type | Organization |
Authorized Contact | KATHERINE KIRCH Therapist 860-367-5061 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008335) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2018-08-27 |