| NPI | 1518034156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P HENDRIKSON President 203-755-9166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation (Licence: CT 003293) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-07-08 |