| NPI | 1134407174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON E DURIVAGE Ap RN Bc 203-421-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CT 004454) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2012-02-17 |