NPI | 1629723010 |
---|---|
Entity Type | Organization |
Authorized Contact | TANAYA W STRONTZER Owner 203-812-0584 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-02-15 |
Last Update Date | 2022-03-28 |