| NPI | 1114456886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW A ROBINSON Doctor/Owner 860-759-4119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT 503) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CT 508) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |