| NPI | 1073249157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA TROJANOWSKI Director Of Revenue Cycle 860-788-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-07-29 |