| NPI | 1073851762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA O'BRIEN Owner 860-436-9946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CT 038427) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |