| NPI | 1114377454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI CALABRESE Member 860-992-5487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 035645) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |