| NPI | 1124430087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE R MUZYKA Owner 203-605-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CT 001759) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |