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 |