| NPI | 1104440098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE HARDING Medical Director 203-701-9737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2024-01-04 |