NPI | 1326292590 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN PATRICIA BELANGER Administrator 860-583-1526 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: CT 002) |
Enumeration Date | 2008-11-13 |
Last Update Date | 2008-11-13 |