NPI | 1467077511 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA TROJANOWSKI Director Of Revenue Cycle 860-788-6404 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
103TC0700X Psychologist, Clinical | |
Enumeration Date | 2020-06-15 |
Last Update Date | 2020-06-15 |