| NPI | 1588177208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DELIA DIMAIO Owner 860-416-6949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006442) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |