| NPI | 1548599616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C EDDY Psychiatrist 860-760-6857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 044569) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2009-12-18 |