| NPI | 1306219191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN BEREZ Credentialing Coordinator 203-794-5341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |