| NPI | 1639660723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVER PEACEFUL WEISS Clinician 860-970-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 8959) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |