| NPI | 1073621579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CLAING Exec Director, Corp Bus Services 203-688-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CT 0281) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2024-01-19 |