| NPI | 1114207289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN CARIUS Nurse Practioner 203-375-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CT 003880) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |