NPI | 1922388834 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA M DELAGE Primary Therapist, Owner 860-774-1841 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006786) |
Enumeration Date | 2011-08-23 |
Last Update Date | 2011-08-23 |