| NPI | 1740510056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE-ANNE DENAYER Owner 860-276-3857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 025012) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2023-03-07 |