| NPI | 1891989026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL MORA DE JESUS Director 860-296-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 103T00000X) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 1041C0700X) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2015-01-26 |