| NPI | 1811353832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARI MICHELE SURACE Licensed Clinical Social Worker 860-249-9861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006243) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2023-06-06 |