| NPI | 1669053153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA AYERS Owner 860-921-3417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |