| NPI | 1730542572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ANN HUGUELET Owner/Operater 860-406-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MN r134588-7) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |