| NPI | 1225735939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN SLOSHOWER Co Director 203-974-2693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |