| NPI | 1568724466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE TANNER Executive Director 860-676-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-09-09 |