| NPI | 1760873418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN W GRAHAM Licensed Clinical Social Worker 860-432-9229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 008870) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |