| NPI | 1902130107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURA J WOODWARD Owner 203-287-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 001935) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |