| NPI | 1750973152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIKA BRASSEAUX Manager 203-903-9728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2021-04-27 |