| NPI | 1659884690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UBONG JACKSON UDOYEN Md 203-870-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 50553) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-06-16 |