| NPI | 1770932931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQUE PERERA Owner 203-321-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: CT 039232) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |