| NPI | 1154509347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GEORGE LUSSIER Owner 860-652-0472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 026123) |
| Enumeration Date | 2008-02-10 |
| Last Update Date | 2008-02-10 |