| NPI | 1932456068 |
|---|---|
| Doing Business As | HEADZONE CONCUSSION CARE |
| Entity Type | Organization |
| Authorized Contact | TAMMY CARRASQUILLO Office Manager 203-527-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CT CLPOL0098) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CT CLPOL0098) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |