| NPI | 1720211329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE SWIDERSKI Vice President 860-417-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005715) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 001668) |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2009-08-29 |