NPI | 1750581765 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA JOAN GREEN Secty/Treas 860-635-4429 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CT 000345) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2007-07-19 |