| NPI | 1275883647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY L RUBEN President 203-397-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 002814) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |