| NPI | 1063724359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMSHID A MARVASTI Owner 860-643-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 19515) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-02 |