| NPI | 1619716875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE M ROBLES Licensed Clinical Social Worker 860-506-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-22 |