NPI | 1053737965 |
---|---|
Doing Business As | INTEGRAL PSYCHIATRIC SERVICES |
Entity Type | Organization |
Authorized Contact | SHERYL LACOURSIERE Owner 203-264-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 3861) |
Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) |
363LF0000X Nurse Practitioner, Family (Licence: CT 3861) | |
Enumeration Date | 2014-03-16 |
Last Update Date | 2020-09-25 |