| NPI | 1699218602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI PELOSI Co Owner 203-596-0857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |