| NPI | 1518914746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRIA CON Office Mgr 860-276-9295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 035132) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |