| NPI | 1144671793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQUE PERERA Owner 203-321-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: CT 039232) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |