| NPI | 1427661420 |
|---|---|
| Doing Business As | ADVANCED CLINICAL SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | JULEEN MASON Provider 860-518-2596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |