| NPI | 1619640620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN COOKE Licensed Clinical Social Worker 860-785-3403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |