| NPI | 1669281481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVITHA CHANDRAMOHAN Owner 860-484-3233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-02-04 |