| NPI | 1861109407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL DUBOFF-JACOMINI Owner 860-712-8863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |