| NPI | 1528361243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M CATRAMBONE Clinicaldirector 860-567-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: CT 000701) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: CT 000706) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |