| NPI | 1568404820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA E BURDICK Owner/Clinical Director 860-439-0237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 003903) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |