| NPI | 1659736452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN BLAIR Owner/Manager 860-508-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009240) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |