| NPI | 1801130851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PELUSO Licensed Clinical Social Worker 860-704-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 007552) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |