| NPI | 1477901163 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHELLY GIOIA-MORELLI Administrative Program Coordinator 860-679-2550  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 6818)  | 
| Enumeration Date | 2016-06-02 | 
| Last Update Date | 2016-06-02 |