| NPI | 1104955913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE GALVIN Family Nurse Practitioner 203-315-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CT 000727) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-03-07 |