| NPI | 1255572079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY SEIGEL CEO 860-405-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 003815) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-10-13 |