| NPI | 1811370125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA ANN STARR Member 203-907-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 004844) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |