| NPI | 1821497678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY MATTFELD Manager 860-852-3358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006228) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |