| NPI | 1730549759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEDDEUS IHEANACHO Director 203-874-0593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 49777) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |