| NPI | 1619204674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL-RAHMAAN IBN MUHAMMAD President & CEO 860-656-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |