| NPI | 1245859958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L. SIMON Chief Managing Officer 860-230-3294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |