| NPI | 1316775919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS J MERCADANTE Chief Executive Officer 860-332-6845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 207R00000X Internal Medicine | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |