| NPI | 1427475672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE K REGAN Owner 203-410-4382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT E52363) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-10-17 |