| NPI | 1245573013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VINCENT BARRIOS President 203-245-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CT 001461) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CT 001483) |
| Enumeration Date | 2013-03-31 |
| Last Update Date | 2013-03-31 |