| NPI | 1104524669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DULCIMINA WELSH Employee 203-296-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |