| NPI | 1801354998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA LORAN Psychiatric Nurse Practitioner 203-802-8443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2023-04-07 |