| NPI | 1578920187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN C WAWRZYNIAK WEBB Psychologist 860-878-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 3003) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |