NPI | 1336342880 |
---|---|
Doing Business As | ADULT PSYCHIATRIC CLINIC |
Other Name | ADULT PSYCHIATRIC CLINIC |
Entity Type | Organization |
Authorized Contact | SOL MARIA GONZALEZ Credentialing Specialist 203-503-3174 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2020-04-29 |