| NPI | 1346812344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE EDWARDS Chief Executive Officer 860-333-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QC1800X Clinic/Center Corporate Health |
| 261QG0250X Clinic/Center Genetics | |
| 261QR1100X Clinic/Center Research | |
| 261QS1000X Clinic/Center Student Health | |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2021-07-11 |