| NPI | 1417684150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAROLETTE ROMAGNANO Practice Manager 860-707-3502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2023-01-26 |