| NPI | 1942160288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA KURKER Nurse Practitioner 860-543-0534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-17 |