| NPI | 1487077038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHELA E. SIBILIA Owner, Principal 203-794-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CT 8547) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |