| NPI | 1619759982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA FARNWORTH Owner 203-613-6454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |