| NPI | 1457978256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE PROCYK Owner/Provider 860-572-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |