| NPI | 1841904752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY HALINA HILLBURN Managing Member 860-255-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-18 |