| NPI | 1992177505 |
|---|---|
| Former Legal Business Name | THE MUSIC THERAPY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DORITA S BERGER Board Certified Music Therapist 203-984-7664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |