NPI | 1619093523 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD BILANGI Executive Director President 203-743-4698 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 0352) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |