| NPI | 1619219243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASER MUSHTAQ Partner 860-781-7123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 046918) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 006646) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2014-05-09 |