| NPI | 1831145606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA KRISCENSKI Office Manager 860-677-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 002126) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-07-21 |