| NPI | 1326812611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESPINA O'DOHERTY President And CEO 860-833-3173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-15 |