| NPI | 1588114870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA STEPHANIE DAMERON Ap RN/Owner 860-222-0949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 004768) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2025-10-06 |