| NPI | 1417773094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RICHELLO Dnp, Pmhnp Bc, Ap RN 203-632-6239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |