| NPI | 1063721884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R BERV Owner 203-972-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 17059) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |