| NPI | 1508271875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMAND NTCHANA Office Manager 860-593-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 122300000X Dentist | |
| 208D00000X General Practice | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2015-01-30 |