| NPI | 1215353560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER J LECKOWICZ Owner 860-667-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CT 007677) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |