| NPI | 1275797094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY STONE OWENS Principle 860-673-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CT 601) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |