| NPI | 1043719776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE STEPHEN ROTHSCHILD Member 860-810-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 029851) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |