| NPI | 1578774113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA ADCOCK Admin. 860-437-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2012-04-25 |