| NPI | 1942845359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL GENESKY Licensed Clinical Social Worker 860-470-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |