| NPI | 1871093088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LABINGER-GOTHERS Licensed Clinical Social Worker 860-490-9591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-09-20 |