NPI | 1881108496 |
---|---|
Doing Business As | MICHAEL OTOOLE LLC |
Entity Type | Organization |
Authorized Contact | MICHAEL OTOOLE Owner 203-515-8185 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 007178) |
Enumeration Date | 2017-11-20 |
Last Update Date | 2017-11-20 |