| NPI | 1053921502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY MILLER President 860-593-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2020-12-23 |