| NPI | 1285011361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA HILLER Manager 860-432-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 001987) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-07-01 |