| NPI | 1427596477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M CARUCCI Owner 860-257-8445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CT 1130) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |