| NPI | 1629374178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA DEVIVO-CATALANO Owner 860-357-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 000570) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2014-07-03 |