| NPI | 1356010243 |
|---|---|
| Doing Business As | FIVE CORNERS BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARTHA J STEWART Nurse Practioionter 860-205-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2022-08-10 |