| NPI | 1528394376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BONASERA Manager 203-364-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 045981) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 045981) | |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-10-29 |