| NPI | 1295189926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ANDERS FRICK Owner 203-672-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |