| NPI | 1164798468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE NOVELLA Owner Provider:Star Psychiatric Hea 203-947-5529 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 002719) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-04-10 |