| NPI | 1497873947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DIGEORGIO Pharmacy Manager 203-974-7106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CT 18471) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |