| NPI | 1871071423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASTITY JOY PIMENTAL Lcsw 860-336-8148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005134) |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2018-08-22 |