| NPI | 1447039292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI BERNIER Nurse Practitioner/Owner 860-249-1824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |