| NPI | 1942881933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY JOSEPH Psychiatric Nurse Practitioner 203-687-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |