| NPI | 1538275169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTON FRY Owner/Pres 203-792-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-10-09 |