NPI | 1952054124 |
---|---|
Entity Type | Organization |
Authorized Contact | MARISSA BAYERL Owner, Ap RN 203-680-0734 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2022-01-28 |
Last Update Date | 2022-05-13 |