| NPI | 1396264313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH BAILEY Owner 860-975-7455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2024-01-31 |