| NPI | 1134278815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE ZEH Owner 860-649-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CT 001682) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-12-25 |