Organization
STILL WATER SERENITY FOUNDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRETT J WHITTAKER APN, FNP (CEO/OWNER)
(860) 387-7940
Entity
Organization
Contact information
Practice address
133 LONGMEADOW DR, TORRINGTON, CT 06790-4170
(860) 387-7940
Mailing address
133 LONGMEADOW DR, TORRINGTON, CT 06790-4170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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