| NPI | 1427860337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENNA THOMPSON Ap RN 203-951-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-06-26 |