| NPI | 1558842559 |
|---|---|
| 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 |