| NPI | 1750658613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NAZARIAN Owner 860-993-5524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 034554) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |