| NPI | 1245460724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M. CONTI Member 860-268-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TH0004X Psychologist Health | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2018-09-14 |