| NPI | 1801151105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA DEVIVO CATALANO Manager/Partner 860-810-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 000570) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CT E59762) |
| 171M00000X Case Manager/Care Coordinator (Licence: CT 001219) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |