| NPI | 1104445352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J POERIO President/CEO 860-573-7682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |