| NPI | 1730496654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILI DAOUD Clinical Director 860-677-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005394) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |