| NPI | 1598102287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA NICHOLA MCKENZIE Office Manager 860-578-9179 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: CT 008043) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |