| NPI | 1871319913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRNA R POWELL Licensed Clinical Social Worker 860-830-1832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2025-03-05 |