| NPI | 1699133249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIPE JR. HERNANDEZ President 860-796-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004371) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |