| NPI | 1881051399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY S MORALES Licensed Clinical Social Worker 860-377-5358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007711) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |