| NPI | 1568790376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES C DIKE Owner 203-318-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 039301) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |