| NPI | 1467722538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WASSON CEO 860-657-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: CT 0011421) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |