| NPI | 1881473965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M PETERS Owner/Provider 203-530-4634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |