| NPI | 1891519062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URI BERGER Owner 203-298-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |