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 |