| NPI | 1750973152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIKA DUCHARME BRASSEAUX Owner 203-903-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2025-02-11 |