| NPI | 1245501279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JT MOHLER-AVERY CEO/Managing Member 860-985-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 004732) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-03-09 |