| NPI | 1114184157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LANDSMAN Director 203-384-8681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |