| NPI | 1861234114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHARON HERNANDEZ Mental Health Ap RN 203-233-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-06-08 |
| Last Update Date | 2024-06-08 |