| NPI | 1063727865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTHA T. KURIEN Psychiatrist 203-743-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 018560) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2015-06-08 |