| NPI | 1780795559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND STEVEN SHOCKI Executive Director 860-628-8474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 000402) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 000320) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |