| NPI | 1740409952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER EMILY MYER Proprioter 203-752-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 039685) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |