| NPI | 1821542408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA R. BASSETT Psyhiatric Provider 203-915-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 005987) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |