NPI | 1467951939 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA P TROJANOWSKI Director Of Revenue Cycle 860-788-6404 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 104100000X Social Worker |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2018-02-09 |
Last Update Date | 2019-07-16 |