| NPI | 1295937613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN RUSSELL PROVOST Controller 860-539-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2023-11-01 |