| NPI | 1043666480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FRANK COMSHAW Chief Executive Officer 860-736-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 040063) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 0001702) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2024-07-02 |