| NPI | 1104325695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MITCHELL HADDAD Pmhnp 203-952-7571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NY F402319-1) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-03-17 |