| NPI | 1548092414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVORAH L KAMMAN Registered Agent 203-675-5308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |