| NPI | 1932678919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KARABELNIK Owner/Medical Director 860-937-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TF0000X Psychologist, Family | |
| 1041C0700X Social Worker, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-12-19 |