| NPI | 1508593294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN STOUDMIRE Psychiatric Nurse Practitioner 203-676-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |