NPI | 1497863658 |
---|---|
Entity Type | Organization |
Authorized Contact | LORAINE SHEA President 203-754-5141 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2006-08-28 |
Last Update Date | 2016-07-27 |