| NPI | 1174642086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN GOTTLIEB Executive Director 203-658-9650 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 0257) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-18 |