| NPI | 1629599394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY HEON Lcsw And Owner 860-373-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009747) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-07-21 |