| NPI | 1396267126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN YOUNG Clinic Director 860-533-0179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |