| NPI | 1407264351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BOORIN Nurse Practitioner 203-693-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 3777) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |