| NPI | 1679764872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP HENRY BROWN Owner 860-546-6959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 000612) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |