| NPI | 1013599455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ROSE JANKOWSKI Nurse Practitioner 203-213-0247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2024-02-12 |