| NPI | 1982887501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A GREAVES Owner 203-740-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 001072) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2011-06-02 |