| NPI | 1619172194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN ANN TRASKO Owner 860-334-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X (Licence: CT 004350) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2019-06-11 |