| NPI | 1306633896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE SPENCER Owner/ Nurse Practitioner 860-338-8256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |