| NPI | 1326376633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S THORSEN Owner 860-621-1896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 028680) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |