| NPI | 1891205761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASNEEM AHMAD KHAN Owner 203-980-9969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 034005) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2018-06-16 |