| NPI | 1902259989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANA MALDONADO Licensed Clinical Social Worker 860-539-9554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |