| NPI | 1679132310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA S BARCELOS Psychiatric Nurse Practitioner 860-329-9928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |