| NPI | 1265704357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE W MILKEY Owner 203-305-5165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 004864) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |