| NPI | 1316161193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZHAR IMAM President 203-597-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 042814) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |