| NPI | 1780920314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUKAT A KHAN Owner 203-494-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 039209) |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |