| NPI | 1528642485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN DARCY VP Finance 203-739-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |