| NPI | 1174927941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL LUGO Owner 860-344-0154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 042647) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |