| NPI | 1760055826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANANTHAKUMAR THILLAINATHAN Owner 203-683-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-08-17 |