| NPI | 1487125456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A ABROKWA Sole Member 860-432-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |