| NPI | 1063816965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA R MCCANN Member 203-442-6023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT 516) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 607) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |