| NPI | 1578817763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA JAKOBOSKI Bh Administration Secretary 860-533-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 002525) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |