| NPI | 1194904615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MITCHELL KURKJIAN President 860-529-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 001989) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |