| NPI | 1932658960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WOODS Executive Director 860-209-8957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006749) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |