| NPI | 1396463303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHEA MENDEZ Owner 860-780-4313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |