| NPI | 1720239890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI MARANDO Owner 203-747-5282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 003652) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |