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 |