| NPI | 1992781488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TIBBETTS Authorized Official 203-265-5720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2014-06-06 |