| NPI | 1902099849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWINA M. WALKER Owner/Operator 860-922-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005782) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |