| NPI | 1730781022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MALERBA Director Of Ops 203-988-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2024-10-08 |