| NPI | 1528434115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL H SEPULVEDA Owner 203-870-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 111N00000X Chiropractor | |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2019-01-08 |