| NPI | 1548931389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ERIC CHAMBERLIN Owner 860-659-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |