| NPI | 1396970158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A PERKINS Nurse Practitioner 860-276-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 003219) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |