| NPI | 1629190277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS T HACKETT VP Treasurer 203-838-1678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |