| NPI | 1164695920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN BURZYNSKI Owner 860-677-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 00147) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |