| NPI | 1942589189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A. FRAZIER Owner 860-817-8640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 006114) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |