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