| NPI | 1366893216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KELLY Owner 860-357-6899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CT 261QU0200X) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-02-21 |