| NPI | 1063693935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE BOYLAN President 203-743-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CT 658) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |