| NPI | 1639505043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L VOGT Provider 860-395-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006192) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |