| NPI | 1588905657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN L BURNHAM Clinical Sw 860-995-5827 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008188) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |