| NPI | 1285113498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK POLIT Office Manager 860-771-3176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 048825) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2024-05-14 |