| NPI | 1588062541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN T SAVULAK Member 860-276-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 035159) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |