| Organization Name: | ML THERAPIES, LLC |
| NPI Number: | 1114048568 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY LOU GRAHAM (MEMBER LLC) |
| Mailing Address: | 14 Cedar St New Britain |
| State: | CT US |
| Postal Code: | 060521302 |
| Phone Number: | 8606120432 |
| Fax Number: | 8606120087 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 003146 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |