| NPI | 1891678108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON LEACH Nurse Practitioner 203-571-3233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-07-26 |
| Last Update Date | 2025-07-26 |