| NPI | 1740786201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISSE WESTON-KELDO President 860-777-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005890) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |