| NPI | 1972864627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA P BOLTAX-STERN President 203-387-3403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 000011608) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |