| NPI | 1073396131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HAMMEL Managing Member 860-846-7137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |