| NPI | 1225297690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASANTE K MENDES Medical Director 860-269-3101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 046042) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-09-26 |