| NPI | 1548513864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PATRICK YOUNG Clinical Psychologist 860-415-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3219) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |