| NPI | 1811426695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARINE JEAN Owner/Md 203-671-3587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CT 033954) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CT 033954) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 033954) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-06-06 |