| NPI | 1588387534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN TELEMAQUE Psychiatric Nurse Practitioner 860-235-8352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |