| NPI | 1487222006 |
|---|---|
| Former Legal Business Name | JOHNSON-ALLE PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | DEON JOHNSON-ALLEN Owner 860-384-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2022-01-18 |