| NPI | 1417729385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE GALLAGHER Nurse Practitioner In Psychiatry 203-200-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-11-28 |