| NPI | 1659299865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SOMERVILLE Owner 860-930-4249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2026-07-07 |
| Last Update Date | 2026-09-30 |