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 |