| NPI | 1255752945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KELLY President 860-986-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 208D00000X General Practice |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2024-06-03 |