| NPI | 1619324613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMAN QURESHI Owner 860-989-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-20 |