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Organization

INTEGRATED MENTAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEANNIE VIRGINIA PASACRETA APRN, PHD (CEO,APRN)
(203) 270-0080
Entity
Organization

Contact information

Practice address
4 ABBEY LN, NEWTOWN, CT 06470-2784
(203) 270-0080
(203) 304-1191
Mailing address
4 ABBEY LN, NEWTOWN, CT 06470-2784
(203) 270-0080
(203) 304-1191

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004253728
CT
01
Q59438
MEDICARE UPIN
CT
Enumeration date
03/10/2022
Last updated
03/10/2022
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