| NPI | 1508161720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COUTURIE Medical Director Of Inte RN Al Med 203-503-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: CT 087890) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2020-04-29 |