| NPI | 1922472992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE C. NEWHOUSE Owner 860-830-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008836) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |