| NPI | 1336840420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN NICHOLAS Director Of Coaching 860-490-1085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-15 |