| NPI | 1346973617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FURNE SUSAN CARRIER-VALENTINE Ap RN 860-712-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-07-05 |