| NPI | 1396398061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON LORI CARLSON Owner 860-582-2209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |