| NPI | 1982194585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE A MILLER Clinical Social Worker 860-605-4855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004046) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-08-28 |