| NPI | 1184921975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON DION CHANCE Clinical Psychology Doctoral Studen 203-347-5504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |