| NPI | 1982995569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA J DOOLEY CFO 860-370-3651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 364SA2200X Clinical Nurse Specialist, Adult Health | |
| 364SG0600X Clinical Nurse Specialist, Gerontology | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2017-07-11 |