| NPI | 1477378750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAD MONTAZERI-LEMRASKI Physician 203-510-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |