| NPI | 1164113114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA M DANIELS Psychiatric Nurse Practitioner 203-560-5472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-11-01 |